The charge nurse on a cardiac stepdown unit makes

Question 1 of 5

The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?

A. A 49 year-old with new onset atrial fibrillation with a rapid ventricular response B. A 58 year-old hypertensive with possible angina C. A 35 year-old scheduled for cardiac catheterization D. A 65 year-old for discharge after angioplasty and stent placement

Correct Answer: B

Rationale: A 58-year-old with hypertension and possible angina suits a PN. Stable monitoring and care align with PN scope, unlike unstable AF , pre-procedure , or discharge teaching , which need RN skills. B ensures appropriate delegation.

Question 2 of 5

When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child?

A. Provide a verbal explanation just prior to the surgery B. Provide the child with a booklet to read about the surgery C. Introduce the child to another child who had heart surgery 3 days ago D. Explain the surgery using a model of the heart

Correct Answer: D

Rationale: A heart model meets a 10-year-old's needs. Concrete operational stage (Piaget) favors tangible explanations, reducing fear. Verbal lacks depth, booklet may overwhelm, peer risks confusion. D enhances understanding, making it the best method.

Question 3 of 5

The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?

A. Hold and cuddle the child frequently B. Encourage the child to feed himself finger food C. Allow the child to walk independently on the nursing unit D. Engage the child in games with other children

Correct Answer: A

Rationale: Holding and cuddling frequently should be included for an 18-month-old. Per Erikson, trust and security are key; physical comfort reduces stress. Finger feeding is developmental, walking risks falls, games suit older kids. A meets emotional needs, making it essential.

Question 4 of 5

A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first

A. focus on reality orientation to place and person B. assist with the report of the client's complaint to the police C. obtain more details of the client's claim of abuse D. document the statement on the client's chart with a report to the manager

Correct Answer: C

Rationale: Obtaining more details is the first step. It clarifies the abuse claim, guiding action, per safety protocols. Reality orientation assumes delusion, assisting police or documenting skips assessment. C ensures accuracy, making it priority.

Question 5 of 5

After working with a client, an unlicensed assistive personnel (UAP) tells the nurse, 'I have had it with that demanding client. I just can't do anything that pleases him. I'm not going in there again.' The nurse should respond by saying

A. He has a lot of problems. You need to have patience with him. B. I will talk with him and try to figure out what to do. C. He may be scared and taking it out on you. Let's talk to figure out what to do. D. Ignore him and get the rest of your work done. Someone else can take care of him for the rest of the day.

Correct Answer: C

Rationale: He may be scared and taking it out on you. Let's talk' is best. It reframes behavior, offers support, and plans action, per teamwork. Patience , RN-only talk , or ignoring dismiss UAP needs. C fosters collaboration.

The charge nurse on a cardiac step-down unit makes assignments for the team consisting of a registered nurse (RN), a practical nurse (PN), and an unlicensed assistive personnel (UAP). Which client should be assigned to the PN?

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